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FIR2023-0059_Application_6.13.2023_9.53.10_AM_3605462CITY OF EDMONDS M BuildingPermit.com Fire Application #1330773 - Johnny Mo's TI Applicant First Name Last Name Company Name Kathi O'Rear Northwest Fire Systems LLC Number Street Apartment or Suite Number E-mail Address 22645 83rd Ave S Bldg D korear@nwfiresystems.com City State Zip Phone Number Extension Kent WA 98032 (206) 772-7502 Contractor Company Name Northwest Fire Systems LLC Number Street Apartment or Suite Number 22645 83rd Ave. S BLDG D City State Zip Phone Number Extension Kent WA 98032 (253) 345-2353 (206) 772-7502 State License Number License Expiration Date UBI # E-mail Address NORTHFS928CR 2/20/2024 BD97Ag167 korear@nwfiresystems.com Project Location Number Street Floor Number Suite or Room Number 558 MAIN ST 2nd 200 City Zip Code County Parcel Number EDMONDS 98020 00434212001500 Associated Building Permit Number Tenant Name Johnny Mo's Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name SEATTLE-SNOHOMISH MILL COMPANY INC Number Street Apartment or Suite Number 9525 AIRPORT WAY City State Zip SNOHOMISH WA 98296 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 6/13/2023 Submitted By: Kathi O'Rear Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1330773 - Johnny Mo's TI Project Contact Company Name: Northwest Fire Systems LLC Name: Kathi O'Rear Email: korear@nwfiresystems.com Address: 22645 83rd Ave S Bldg D Phone #: (206) 772-7502 Kent WA 98032 Project Type Nonresidential Activity Type Alteration Scope of Work Fire Sprinkler Systems Project Name: Johnny Mo's TI Description of Work: Fire Sprinkler TI; adding 2 sprinkler heads for the cooler. No change to hydraulic calcs. Project Details Fire System Type NFPA 13 Fire System Counts Number of Heads Added Valuation Fair Market Value of Work Contact Information Owner Email Address 2 $2,917 korear@nwfiresystems.com Page 2 of 2